Deficiency Index

McCall Rehabilitation and Care Center

McCall, Idaho · CCN 135082

12 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
94
Surveys
12
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
65
Ownership
For profit - Limited Liability company
Chain
THE ENSIGN GROUP
County
Valley · rural
Medicare-certified since
1981

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Jul 24, 2025

473 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.233.98
Registered-nurse hours per resident day0.78—
Annual nurse turnover60.0%55.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD666.7%E111.1%F222.2%
No harm, potential for minimalA—B—C—
CMS’s current file: 9 of the 94 citations on record.

In the surveyor’s words

From the most serious findings on record at McCall Rehabilitation and Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF801Jul 24, 2025

    Based on record review and observation it was determined the facility failed to ensure a qualified individual was employed with the knowledge and skill set to carry out the function of food and nutrition services. This deficient practice created the potential to affect 35 residents who consumed food prepared by the facility. This placed residents at risk for undetected weight loss and adverse health outcomes when the facility did not employ a qualified individual to meet all resident nutritional needs. Findings include: The facility's Quality Assurance and Performance Improvement (QAPI) meeting minutes, dated January 2025, documented under dietary services, the facility had a goal to enroll the Dietary Manager (DM) into a dietary manager certification training by the next quarter. […]

  • No harm, potential for more than minimal, widespreadF812Jul 24, 2025

    Number of residents sampled:Number of residents cited:SDP= GenesisUniverse= Facility wide Concerns with Food and Nutrition Services regarding kitchen sanitation. Based on observation, staff interview, and Food Code review, it was determined the facility failed to ensure the kitchen equipment was maintained in sanitary condition and food was handled in a safe and sanitary manner. These deficient practices created the potential to affect 35 residents who consumed food prepared by the facility. This placed residents at risk for potential food contamination and adverse health outcomes, including food-borne illness. […]

Read 24 findings in full →The most serious and the most recent: 24 of 94 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 24, 2025Standard and complaint2 findings
  • Jun 17, 2020Infection control1 finding
  • Dec 18, 2019Complaint8 findings
  • Jul 26, 2019Standard7 findings
  • Jan 8, 2019Complaint1 finding
  • Oct 23, 2018Complaint8 findings · 1 harm
  • Apr 21, 2017Standard4 findings
  • Mar 18, 2016Standard and complaint9 findings · 1 harm
Show the 4 earlier surveys
  • Nov 21, 2014Standard10 findings · 1 harm
  • Aug 30, 2013—21 findings · 2 harm
  • May 24, 2012—16 findings
  • Apr 14, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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